| NPI | 1578358339 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 13606) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 13606) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |